Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.99 / $377.99 / $377.99	Facility		$377.99	$377.99	$377.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $313.64 / $377.99	Professional		$269.42	$313.64	$377.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.64 / $801.64 / $801.64	Facility		$801.64	$801.64	$801.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.67 / $730.48 / $913.10	Professional		$577.67	$730.48	$913.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.52 / $455.32 / $738.21	Facility		$379.52	$455.32	$738.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $281.32 / $827.42	Professional		$241.27	$281.32	$827.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $518.90 / $881.27 / $1,127.71	Facility		$518.90	$881.27	$1,127.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $482.54 / $819.26 / $1,127.71	Professional		$482.54	$819.26	$1,127.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $656.68 / $968.83 / $1,104.70	Professional		$656.68	$968.83	$1,104.70
United Facility/Professional Professional Modifier Low / Median / High Price $168.89 / $281.32 / $402.12	Professional		$168.89	$281.32	$402.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $402.12	Professional		$402.12	$402.12	$402.12